Permissible out-of-state billing for certain disability waiver services clarification

This bill clarifies that individuals receiving Minnesota's disability waiver services can be billed for certain personal care services (like respite and overnight supervision) when temporarily traveling out of state or attending out-of-state college. It requires the state Human Services Commissioner to propose changes to Medicaid waiver plans by December 1, 2025, to explicitly include these services under "direct care staff services" for out-of-state use. The change directly affects waiver participants who travel or attend school outside Minnesota, ensuring they can access covered services without billing barriers during temporary absences. The policy update modifies existing waiver program rules to align with current service delivery needs during travel.